KEARNEY R-1 SCHOOL DISTRICT FUNDRAISING APPLICATION FORM

KEARNEY R-1 SCHOOL DISTRICT FUNDRAISING APPLICATION FORM

The Superintendent’s Office requests that all school sponsored fundraiser organizers complete this form
Date of Application*

MonthDayYear
Date
Club / Activity Raising Funds*
Club / Activity Sponsor*
Description of Fundraiser*
Purpose of Funds*
Beginning Date of Fundraiser*

MonthDayYear
Date
Ending Date of Fundraiser*

MonthDayYear
Date
Anticipated Net Revenue*
Financial Expectation from each student (if applicable)*
Sponsor Email*
example@example.com
Revenue Code*

Baseball 001-0000-5173-1050-00078-1Basketball Boys 001-0000-5173-1050-00074-1Basketball Girls 001-0000-5173-1050-00076-1Cheer 001-0000-5173-1050-00014-1Cross Country 001-0000-5173-1050-00080-1Golden Girls 001-0000-5173-1050-00018-1Football 001-0000-5173-1050-00081-1Golf Boys 001-0000-5173-1050-00069-1Golf Girls 001-0000-5173-1050-00068-1Soccer Boys 001-0000-5173-1050-00073-1Soccer Girls 001-0000-5173-1050-00077-1Softball 001-0000-5173-1050-00079-1Stunt 001-0000-5173-1050-00305-1Swimming Boys 001-0000-5173-1050-00082-1Swimming Girls 001-0000-5173-1050-00070-1Tennis Boys 001-0000-5173-1050-00067-1Tennis Girls 001-0000-5173-1050-00084-1Track 001-0000-5173-1050-00083-1Volleyball 001-0000-5173-1050-00075-1Wrestling Boys 001-0000-51731050-00085-1Wrestling Girls 001-0000-5173-1050-00280-1Other
Signature of Sponsor*

Clear
Please fill out once fundraiser is completed

CLOSING REPORT SECTION:

Gross Receipts / Revenue (All money collected): ______________________

Breakdown of Expenses (i.e. cost of merchandise, trophies, drinks, snacks, etc.)

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

Expenses (Total of all expenses) $ _________________

Net Income (Gross Receipts minus Expenses) $____________________
Gross Receipts / Revenue:
Breakdown of Expenses (i.e. cost of merchandise, trophies, drinks, snacks, etc.)
Expenses (Total of all expenses)
Net Income
Signature of Approval by Central office

Clear
Should be Empty: